Individual
DR. FREDERICK L POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 WAYNE MEMORIAL DR, EMERGENCY DEPT, GOLDSBORO, NC 27534-9494
(919) 731-6060
(919) 580-9224
Mailing address
PO BOX K, GOLDSBORO, NC 27533-9710
(919) 731-6595
(919) 580-9224
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
29645
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68631
BLUE CROSS BLUE SHIELD
—
05
—
8968631
—
NC
Enumeration date
06/22/2005
Last updated
06/30/2010
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